# AMG-CROCKETT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FIRST CHOICE HEALTH
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689843153
- **Authorized official:** JONE LAW KOFORD (DIVISION PRESIDENT)
- **Authorized official phone:** (615) 372-8503

## Contact information

- **Practice address:** 184 PROSSER RD, LAWRENCEBURG, TN 38464-4233
- **Practice address phone:** (931) 762-1800
- **Practice address fax:** (931) 762-9155
- **Mailing address:** PO BOX 847, US HIGHWAY 43 SOUTH, LAWRENCEBURG, TN 38464-0847
- **Mailing address phone:** (931) 762-6571
- **Mailing address fax:** (931) 766-3339

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2008
- **Last updated:** 02/28/2008